| NPI | 1912589847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MN 72266) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MN 31861) |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2022-08-12 |