| NPI | 1275814907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: CO 37526) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CO DR.0037526) |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2021-11-22 |