| NPI | 1902802689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: GA 046956) |
| Additional Taxonomies | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: GA 046956) |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2025-08-19 |