| NPI | 1215355078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MD D96099) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA MD470038) |
| 207Y00000X Otolaryngology (Licence: SC 86983) | |
| Enumeration Date | 2014-03-30 |
| Last Update Date | 2023-03-11 |