| NPI | 1689134272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: PA MD492164) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MD D0099652) |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2025-09-23 |