| NPI | 1336630268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WI 84116) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NY 322961) |
| Enumeration Date | 2018-05-26 |
| Last Update Date | 2024-09-18 |