| NPI | 1184985582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA A150197) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MN 65635) |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2022-02-01 |