| NPI | 1629332796 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: CA A127498)  | 
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA A127498)  | 
| 207Y00000X Otolaryngology (Licence: CO DR.0058489)  | |
| 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: CO DR.0058489)  | |
| 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: AZ 55773)  | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-07-03 | 
| Last Update Date | 2023-02-09 |