| NPI | 1922203009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CT 69517) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: CT 69517) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: DC MD044070) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2022-08-10 |