| NPI | 1558854364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX BP10063886) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX Pending) |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2023-07-06 |