| NPI | 1376763276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: OK 28313) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: SC 32379) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2019-03-06 |