| NPI | 1801061247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NC 2024-00798) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: SC 91190) |
| 207Y00000X Otolaryngology (Licence: GA 71719) | |
| Enumeration Date | 2008-04-27 |
| Last Update Date | 2025-10-01 |