| NPI | 1356526404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX P7747) |
| Additional Taxonomies | 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: TX p7747) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: TX p7747) | |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2022-07-11 |