| NPI | 1568780575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: TX Q3958) |
| Additional Taxonomies | 207ZD0900X Pathology Dermatopathology (Licence: TX Q3958) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2023-01-18 |