| NPI | 1487972303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: FL ME129291) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA MT197424) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT197424) | |
| 207Y00000X Otolaryngology (Licence: SC 38013) | |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2016-08-16 |