| NPI | 1275113383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MO 2026026314) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: KS 04-54082) |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2026-09-16 |