| NPI | 1407266737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: PA MD473093) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA MT205986) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT205986) | |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2021-11-05 |