| NPI | 1255538302 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX P2701)  | 
| Additional Taxonomies | 174400000X Specialist (Licence: TX P2701)  | 
| Enumeration Date | 2007-07-02 | 
| Last Update Date | 2024-06-17 |