| NPI | 1174721138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CT 54829) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MA 256192) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2023-12-06 |