| NPI | 1174633184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WI 76417) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MN 55650) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2023-07-20 |