| NPI | 1558574152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: SC 35078) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: GA 065858) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116017498) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-11-04 |