| NPI | 1518108281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: FL ME116368) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: AL 29610) | |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2017-12-06 |