NPI | 1164780342 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: DC MD045037) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: DC MD045037) | |
Enumeration Date | 2012-04-25 |
Last Update Date | 2018-06-20 |