| NPI | 1902105646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZF0201X Pathology, Forensic Pathology (Licence: MO 2019024496) |
| Additional Taxonomies | 207ZF0201X Pathology, Forensic Pathology (Licence: NY 278417) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MO 2019024496) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 278417) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2021-02-17 |