| NPI | 1255694196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA A170293) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MD 1255694196) |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2025-11-03 |