| NPI | 1346530672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: TN 57244) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 57244) |
| 207Y00000X Otolaryngology (Licence: TN 57244) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2024-01-24 |