| NPI | 1144510439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NY 290627) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA A122505) |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2023-07-27 |