| NPI | 1225591894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: VA 0101271646) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MD D0099727) |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2025-03-17 |