| NPI | 1770111478 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: UT 12557370-1204) | 
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: OK 8705) | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-03-29 | 
| Last Update Date | 2025-06-09 |