| NPI | 1487735403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 4303) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: GA 4303) |
| 207Y00000X Otolaryngology (Licence: GA 004303) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2024-08-02 |