| NPI | 1437336153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: FL ME107599) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207ZD0900X Pathology, Dermatopathology (Licence: FL ME107599) | |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2022-11-04 |