| NPI | 1699986992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TN 44764) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OH 57008584) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2023-05-17 |