| NPI | 1073726444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA A99037) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MD D70424) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2021-10-21 |