| NPI | 1801209556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036165573) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: FL ME139084) |
| 207Y00000X Otolaryngology (Licence: NJ 25MA10898200) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT206698) | |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2024-03-04 |