| NPI | 1922058031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MT 129134) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: WA MD00039605) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2023-09-26 |