| NPI | 1669890752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CT 082502) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 036.154047) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 260376) | |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2025-10-28 |