| NPI | 1922426394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: PA MD484837) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OH 35.135886) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2024-05-23 |