| NPI | 1023271152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: MD D90982) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: not yet licensed) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2022-09-28 |