| NPI | 1447517560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MI 4301111259) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NE 27671) |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2023-04-21 |