| NPI | 1740570944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA A155938) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NY 2281153) |
| Enumeration Date | 2011-04-10 |
| Last Update Date | 2021-03-11 |