| NPI | 1699352203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MN 71973) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MN 31713) |
| Enumeration Date | 2021-03-28 |
| Last Update Date | 2022-08-19 |