NPI | 1609225952 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA 151175) |
Additional Taxonomies | 171000000X Military Health Care Provider |
Enumeration Date | 2016-06-07 |
Last Update Date | 2023-12-18 |