| NPI | 1609306315 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: AL DO-2869) | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2017018449) | 
| Enumeration Date | 2017-06-14 | 
| Last Update Date | 2023-05-23 |