| NPI | 1083243612 |
|---|---|
| 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: MN 79519) |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2025-04-09 |