| NPI | 1841684222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NY 304020-01) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OH 57.026132) |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2022-08-31 |