| NPI | 1700415759 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: DC MD600003713) | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program | 
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 01093449A) | |
| Enumeration Date | 2020-04-02 | 
| Last Update Date | 2025-06-03 |