| NPI | 1619970043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: LA 10468r) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: LA 10468R) |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2024-03-05 |