NPI | 1164959003 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OR MD209480) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT213227) |
Enumeration Date | 2017-05-22 |
Last Update Date | 2022-06-09 |