| NPI | 1124209168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NE 1124209168) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IA DO-04718) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2020-12-11 |