| NPI | 1982993580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0213X Pathology, Pediatric Pathology (Licence: CA A123610) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2016-10-24 |