| NPI | 1316351398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AZ 55457) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207ZC0006X Pathology, Clinical Pathology (Licence: LA 321361) | |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2021-06-25 |