| NPI | 1457307316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MN 49403) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: WI 52468-20) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2025-11-20 |