| NPI | 1497953376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: ID M-16772) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: KS 04-38044) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2024-04-23 |