| NPI | 1790148187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WA MD61290268) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: SC 86308) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2022-09-06 |