| NPI | 1639581952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: SC 88687) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NY 303374) |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2024-02-01 |