| NPI | 1407349822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OH 35.148070) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: SC LL52592) |
| 207Y00000X Otolaryngology (Licence: IL 036.169333) | |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2026-02-11 |