| NPI | 1164694048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: PA MD451094) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX P6868) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2018-03-17 |