| NPI | 1669739785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: FL ME154826) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA MD460921) |
| 207Y00000X Otolaryngology (Licence: LA 308860) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2022-03-02 |