| NPI | 1538628789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OH 35.151172) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MA 280140) |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2024-07-08 |