| NPI | 1538315247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: MA 247012) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: AL R9718) |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2023-11-07 |