| NPI | 1164942348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX U4768) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: GA 91604) |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2023-09-26 |