| NPI | 1710145883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: GA 92833) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MA 250913) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2024-01-07 |