| NPI | 1356563258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NY 1782421) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NY 178242-01) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2023-12-08 |