| NPI | 1396060232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: GA FG6080080) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207Y00000X Otolaryngology (Licence: MI 4301106979) | |
| Enumeration Date | 2010-04-04 |
| Last Update Date | 2016-11-08 |