| NPI | 1558900761 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4301513239) | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-01-06 | 
| Last Update Date | 2025-07-21 |