| NPI | 1861768582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology Otolaryngology/Facial Plastic Surgery (Licence: WA MD60685509) |
| Additional Taxonomies | 207YS0123X Otolaryngology Facial Plastic Surgery (Licence: CA A154468) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2021-11-19 |