| NPI | 1538541206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MD D92290) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: SC LL38431) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2021-10-06 |