| NPI | 1801210968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MN 64212) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MI 4301506798) |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2023-07-03 |