| NPI | 1043943863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-12393) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NC 0010-12393) |
| Enumeration Date | 2022-07-08 |
| Last Update Date | 2022-11-23 |