| NPI | 1700382470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: PA MD486361) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: WI 72211) |
| 207Y00000X Otolaryngology (Licence: CA A187875) | |
| 207Y00000X Otolaryngology (Licence: NJ 25MA12430200) | |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2024-10-09 |