| NPI | 1205396330 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: AL MD.41958)  | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program | 
| Enumeration Date | 2019-03-24 | 
| Last Update Date | 2024-08-06 |