| NPI | 1659145456 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program | 
| Additional Taxonomies | 246QM0706X Spec/Tech, Pathology, Medical Technologist | 
| Enumeration Date | 2023-11-13 | 
| Last Update Date | 2023-11-13 |