| NPI | 1861444085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OH 35.120125) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA A85383) |
| 207Y00000X Otolaryngology (Licence: NC 2008-02091) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2023-11-03 |