| NPI | 1902512619 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program | 
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX BP10088908)  | 
| 207ZC0500X Pathology, Cytopathology (Licence: IL 125.083010)  | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-01-26 | 
| Last Update Date | 2024-06-25 |