| NPI | 1376777193 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207ZP0213X Pathology, Pediatric Pathology (Licence: AL MD.32121)  | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program | 
| Enumeration Date | 2009-05-07 | 
| Last Update Date | 2017-01-19 |