| NPI | 1124554423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: VA 0101279562) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MI 4301506716) |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2023-08-21 |