| NPI | 1528626736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: KY TP627) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TN 70471) |
| 207Y00000X Otolaryngology (Licence: IA R-11497) | |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2025-08-19 |