| NPI | 1790199560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: OK 5734) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: SC 82184) | |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2020-07-23 |