| NPI | 1588896054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301107504) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OH 57.016241) |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2025-12-01 |