| 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 |