| NPI | 1902499544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA A209327) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NE 35272) |
| Enumeration Date | 2021-02-15 |
| Last Update Date | 2026-06-06 |