| NPI | 1801899034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OH 35.079793) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MN 79182) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2025-07-02 |