| NPI | 1588190078 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology (Licence: PA MD474137)  | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program | 
| 207ZP0101X Pathology, Anatomic Pathology (Licence: NY 2436678)  | |
| Enumeration Date | 2017-05-04 | 
| Last Update Date | 2025-09-03 |