| NPI | 1124184148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CO DR0052425) |
| Additional Taxonomies | 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: MO 2008020475) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2026-04-15 |