| NPI | 1871799502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NY 252338) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MI 4301097949) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2021-02-11 |