| NPI | 1619408622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX U5678) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA MD477015) |
| 207Y00000X Otolaryngology (Licence: VA 0101282109) | |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2024-08-21 |