| NPI | 1508441759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: VA 0101276651) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207Y00000X Otolaryngology (Licence: VA 0101276651) | |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2026-05-27 |