| NPI | 1053780387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: PR 22528) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA MD470238) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2024-08-22 |