| NPI | 1629062393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: FL ME66958) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME66958) |
| 207K00000X Allergy & Immunology (Licence: FL ME66958) | |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2025-03-24 |