| NPI | 1134658552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WI 77226-20) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IA R-10906) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2024-02-26 |