| NPI | 1750303764 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: AZ 66999)  | 
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CT 029772)  | 
| 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: CT 029772)  | |
| 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: CT 029772)  | |
| Enumeration Date | 2006-07-25 | 
| Last Update Date | 2025-05-01 |