| NPI | 1770945917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: SC 86498) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MD 9911) |
| 207Y00000X Otolaryngology (Licence: PA MD474437) | |
| Enumeration Date | 2016-03-27 |
| Last Update Date | 2022-10-03 |