| NPI | 1457794927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NC 2016-00327) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NC 201600327) |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2025-08-08 |