| NPI | 1316357320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX S6235) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA MD466753) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2021-12-10 |