| NPI | 1912524612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MN 83465) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX V7479) |
| 207Y00000X Otolaryngology (Licence: MO 2020018001) | |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2026-08-28 |