| NPI | 1912438599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WA MD61090180) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA A187856) |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2025-09-22 |