| NPI | 1760746150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: KY 50404) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MS T-2561) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2022-07-21 |