| NPI | 1669177556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MA 3014220) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 3014220) |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2023-06-13 |