| NPI | 1306556162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: AZ 9520) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: AZ 9520) |
| Enumeration Date | 2022-12-01 |
| Last Update Date | 2022-12-01 |