| NPI | 1457713281 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA A154104)  | 
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA MD473899)  | 
| Enumeration Date | 2016-03-22 | 
| Last Update Date | 2022-07-03 |