| NPI | 1902002249 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207ZN0500X Pathology, Neuropathology (Licence: CT 47299)  | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program | 
| 207ZP0101X Pathology, Anatomic Pathology (Licence: CT 47299)  | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CT 47299)  | |
| Enumeration Date | 2007-06-25 | 
| Last Update Date | 2016-11-30 |