| NPI | 1528455508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WV 29749) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA MT208764) |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2022-04-12 |