| NPI | 1760837983 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036-156597) | 
| Additional Taxonomies | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: IL 036-156597) | 
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: IL 036-156597) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-25 | 
| Last Update Date | 2021-12-20 |