| 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 |