| NPI | 1679863260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TN MD59018) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MA 266832) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2020-09-16 |