| NPI | 1083032825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TN 65755) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MA 278293) |
| Enumeration Date | 2014-03-30 |
| Last Update Date | 2022-08-03 |