| NPI | 1912391145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: MN 67234) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MN 67234) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CO CDRH.0061471) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MT 94728) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2022-11-28 |