NPI | 1548564743 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME118348) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI L1818875) |
Enumeration Date | 2011-01-03 |
Last Update Date | 2020-08-20 |