| NPI | 1780125955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX T6994) |
| Additional Taxonomies | 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: TX T6994) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2026-02-06 |