| NPI | 1750381091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NY 326147) |
| Additional Taxonomies | 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: KY 50432) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2025-09-30 |