| NPI | 1265936512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: CT 65606) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NC 1-85453) |
| 208D00000X General Practice (Licence: NC 1-85453) | |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2020-07-27 |