| NPI | 1548268410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NY 143176-1) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NY 143176) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2022-07-21 |