| NPI | 1942566153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: PA MD460005) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207ND0900X Dermatology Dermatopathology (Licence: PA MD460005) | |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2020-10-02 |