| NPI | 1750793147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NM MD2024-1148) |
| Additional Taxonomies | 122300000X Dentist (Licence: VA 0401414163) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2024-11-18 |