| NPI | 1326509167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MD D0092060) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MD AJ4147357-V3828) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2021-07-09 |