| NPI | 1578940433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WA MD61157352) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 125068533) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2021-07-08 |