| NPI | 1609992254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MI 4301081586) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MN 53252) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2025-07-08 |