| NPI | 1033877527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ID PA-2176) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: ID PA-2176) |
| Enumeration Date | 2021-12-02 |
| Last Update Date | 2023-10-02 |