| NPI | 1396980629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207YP0228X Otolaryngology Pediatric Otolaryngology (Licence: NM MD2022-1290) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NM MD2022-1290) |
| 207Y00000X Otolaryngology (Licence: NV 17733) | |
| 207YP0228X Otolaryngology Pediatric Otolaryngology (Licence: NV 17733) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-12-16 |
| Last Update Date | 2023-07-21 |