| NPI | 1780046631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: VA 0101271992) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: AZ 66160) |
| 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: AZ 66160) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2022-07-28 |