| NPI | 1639795966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TN 73692) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA MT220244) |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2025-06-11 |