| NPI | 1659632776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: CA A141253) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: HI MDR-6294) |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2021-12-03 |