| NPI | 1023559374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WI 3159-320) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TN 65278) |
| Enumeration Date | 2017-03-19 |
| Last Update Date | 2023-08-07 |