| NPI | 1407140213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: VA 0101252850) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: VA 01011252850) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2025-05-27 |