| NPI | 1003176611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NY 287829) |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2017-10-24 |