| NPI | 1689291486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA A200321) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MO 2020019013) |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2025-07-01 |