| NPI | 1437512704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WA MD61493073) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: WA MD61493073) |
| Enumeration Date | 2016-04-03 |
| Last Update Date | 2025-08-25 |