| NPI | 1679107049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 036176416) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: TN 72826) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2025-08-14 |