| NPI | 1144253428 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: CA G035113)  | 
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA G035113)  | 
| Enumeration Date | 2006-07-09 | 
| Last Update Date | 2025-09-11 |