| NPI | 1366483646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: LA 13433R) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX J5127) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2025-05-06 |