| NPI | 1003295445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MD D90683) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT212067) |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2021-05-29 |