| NPI | 1225288608 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: VA 0101281648)  | 
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MD D0078788)  | 
| 207Y00000X Otolaryngology (Licence: DC md038040)  | |
| Enumeration Date | 2008-09-23 | 
| Last Update Date | 2024-03-26 |