| NPI | 1326797630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MN 74623) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MN 32496) |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2023-07-12 |