| NPI | 1083845887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA 20424) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CA pa20424) |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2020-08-11 |