| NPI | 1285100529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA OA004637) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA OA004637) |
| Enumeration Date | 2018-10-14 |
| Last Update Date | 2020-02-21 |