NPI | 1396277760 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZH0000X Pathology Hematology (Licence: MA 1015109) |
Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: FL ME157204) |
208D00000X General Practice (Licence: FL ME157204) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-04-03 |
Last Update Date | 2024-01-16 |