| NPI | 1023646031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA A189194) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NY 335115) |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2025-11-14 |