| 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) | |
| 207Y00000X Otolaryngology (Licence: IN 01097128A) | |
| Enumeration Date | 2013-06-13 | 
| Last Update Date | 2025-06-26 |