| NPI | 1205091527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: NJ 25MA09529800) |
| Additional Taxonomies | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: LA 205398) |
| 207YX0901X Otolaryngology, Otology & Neurotology (Licence: PA 436256) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT182471) | |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2018-03-01 |