| NPI | 1720540511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OH 35.155686) |
| Additional Taxonomies | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: SC 92530) |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2026-06-03 |