| NPI | 1497287775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MT 104963) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: UT 10957163-1205) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2022-07-12 |