| NPI | 1821140765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NM MD2016-0851) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MT186520) |
| 207Y00000X Otolaryngology (Licence: VA 01012412422) | |
| 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: VA 0101241422) | |
| 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: VA 0101241422) | |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2019-01-16 |