| NPI | 1679005946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OH 35144542) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: UT 10957186-1205) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2023-06-14 |