| NPI | 1861923088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: UT 12742827-1205) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: UT 12742827-8905) |
| 207Y00000X Otolaryngology (Licence: ID MC-2518) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2025-06-11 |