| NPI | 1922627744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: GA 103497) |
| Enumeration Date | 2020-04-11 |
| Last Update Date | 2025-03-31 |