| NPI | 1366698730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: SC 96048) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NC 2026-00093) |
| Enumeration Date | 2008-08-17 |
| Last Update Date | 2026-07-02 |