| NPI | 1831696962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX V0788) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX V0788) |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2024-07-08 |