| NPI | 1174815096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CT 56771) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA MD457354) |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2022-09-28 |