| NPI | 1902275696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NY F344411-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 22 673870) |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2019-05-30 |