| NPI | 1023456936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: AL 43214) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: KY 59327) |
| 207Y00000X Otolaryngology (Licence: MO 2013017414) | |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2024-12-31 |