| NPI | 1053758094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: PA MD464929) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MN 58125) |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2020-09-01 |