| NPI | 1760631915 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 036127925)  | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 036127925)  | 
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125055106)  | |
| Enumeration Date | 2008-09-11 | 
| Last Update Date | 2018-07-23 |