| NPI | 1952543464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NE 28633) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OH 35123484) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2016-11-16 |