| NPI | 1558556969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: TX P5131) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX P5131) |
| 207Y00000X Otolaryngology (Licence: TX P5131) | |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2016-04-19 |