| NPI | 1316400138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CO DR.0075405) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA BP10067380) |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2025-09-02 |