| NPI | 1730944471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: FL PA9118443) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9118443) |
| Enumeration Date | 2024-02-20 |
| Last Update Date | 2024-12-04 |