| NPI | 1588318281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MD 17035) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MD 17035) |
| Enumeration Date | 2022-02-10 |
| Last Update Date | 2024-02-28 |