| NPI | 1639422470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: MT MED-PAC-LIC-19990) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MT MED-PAC-LIC-19990) |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2025-03-18 |