| NPI | 1326533795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-08073) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NC 0010-08073) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2019-02-25 |