| NPI | 1790946390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: HI MD15600) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TN MD49891) |
| 207Y00000X Otolaryngology (Licence: WA MD60637583) | |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2023-04-03 |