| NPI | 1689193070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: PA MD472428) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT212861) |
| Enumeration Date | 2017-09-17 |
| Last Update Date | 2022-05-06 |