| NPI | 1720547995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MI 4301513722) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA A178726) |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2025-07-16 |