| NPI | 1578975124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: GA 82869) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4301099974) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 268367) | |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2019-06-28 |