| NPI | 1023164795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MS 30293) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CO 51057) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL-867) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2022-08-30 |