| NPI | 1003105867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WA MD60950218) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OH 35.129251) |
| 207Y00000X Otolaryngology (Licence: OR MD188369) | |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2023-05-16 |