| NPI | 1558921643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WA MD61542853) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MO 2019018215) |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2024-10-02 |