| NPI | 1457670424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: FL ME128043) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IN 01075043A) |
| 207Y00000X Otolaryngology (Licence: OH 35140196) | |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: IN 01075043A) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2024-07-16 |