| NPI | 1700223138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0213X Pathology, Pediatric Pathology (Licence: PA MT216255) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2018-06-18 |