NPI | 1700039559 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: PA MD450680) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2008032037) |
207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: NY 283610) | |
Enumeration Date | 2008-10-24 |
Last Update Date | 2025-09-04 |