| NPI | 1679609465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: NY 249251) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NY 249251) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2022-05-18 |