| NPI | 1164489811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NV 20811) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX S7232) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2025-09-23 |