| NPI | 1639498934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NC 2017-00540) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: AK 116601) |
| 207Y00000X Otolaryngology (Licence: MD D0082644) | |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2022-05-05 |