| NPI | 1578821864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: AZ 28793) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: AL 31301) |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2024-09-17 |