| NPI | 1790943793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology Pediatric Otolaryngology (Licence: CO DR.0052802) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: SC 35143) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2018-11-07 |