NPI | 1851747810 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CT 76638) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MA 291966) |
Enumeration Date | 2016-05-09 |
Last Update Date | 2024-04-15 |