| NPI | 1205047453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: ND 21679) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MI 4301086046) |
| Enumeration Date | 2007-05-26 |
| Last Update Date | 2025-02-03 |