| NPI | 1740717875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA 191022) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: GA 91743) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2025-01-03 |