| NPI | 1942901996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 125.084204) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125.084204) |
| Enumeration Date | 2023-03-16 |
| Last Update Date | 2024-08-08 |