| NPI | 1235391905 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: MI 4301102462) | 
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MI 4301102462) | 
| 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: MI 4301102462) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-06-25 | 
| Last Update Date | 2024-03-07 |