| 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 |