| NPI | 1457093338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MN 74750) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MN 32814) |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2023-07-17 |