| NPI | 1336305028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA A137254) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NY 270336-1) |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2021-10-26 |