| NPI | 1629039896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NY 177739-01) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NY 177739-1) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2024-05-15 |