| NPI | 1003227489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MN 67447) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IA R-09948) |
| 207Y00000X Otolaryngology (Licence: PA MD466709) | |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2020-09-30 |