| NPI | 1124406681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NY 303386-01) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MI 5101025928) |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2021-05-19 |