| 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 |