| NPI | 1306980776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: RI XXXXXXX) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207ZC0500X Pathology Cytopathology (Licence: RI XXXXXXX) | |
| Enumeration Date | 2007-02-17 |
| Last Update Date | 2012-03-19 |