| NPI | 1396130274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NY 302332) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: GA 89788) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2025-08-15 |