| NPI | 1023301520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX R2485) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX 000000) |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2022-07-15 |