| NPI | 1578947933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NY 324608-1) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA MD474734) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2023-10-30 |