NPI | 1851954077 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NC 2024-00858) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 250041) |
Enumeration Date | 2019-04-15 |
Last Update Date | 2024-04-17 |