| NPI | 1699060293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WV 33573) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: VA 0101252383) |
| 208D00000X General Practice (Licence: VA 0116024205) | |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2024-05-14 |