| NPI | 1043508872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA A142034) |
| Additional Taxonomies | 207YX0602X Otolaryngology Otolaryngic Allergy (Licence: IL 125060100) |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2021-11-08 |