| NPI | 1316174733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA A156187) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 157561) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 284749) | |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2018-08-30 |