| NPI | 1659784759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: HI 18560) |
| Additional Taxonomies | 208D00000X General Practice (Licence: HI 18560) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2019-08-06 |