| NPI | 1093861429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CT 75064) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MA 258092) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2023-08-01 |