| NPI | 1104445980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NC 2025-02130) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MI 5151014228) |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2025-08-15 |