| NPI | 1427307644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: OR MD206621) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MA 263212) |
| 207Y00000X Otolaryngology (Licence: TN 60814) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-09-04 |
| Last Update Date | 2021-08-20 |