| NPI | 1760918080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IN 01093711A) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA A177533) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301111962) | |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2025-06-20 |