| NPI | 1922627991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WY 17257A) |
| Additional Taxonomies | 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: WY 17257A) |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2025-03-25 |