| NPI | 1891960597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA A111535) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MA 225801) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2021-10-20 |