| NPI | 1174935381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: VT 042.0014822) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: FL ME139479) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2020-08-24 |