| NPI | 1962635193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0213X Pathology Pediatric Pathology (Licence: MN 67836) |
| Additional Taxonomies | 207ZP0213X Pathology Pediatric Pathology (Licence: OH 35.133826) |
| 208000000X Pediatrics (Licence: OH 35.133826) | |
| 208000000X Pediatrics (Licence: SC 34989) | |
| 208000000X Pediatrics (Licence: MO 2009013425) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: SC MD34989) | |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2020-10-06 |