| NPI | 1932330495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: GA 69995) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NY 249257) |
| Enumeration Date | 2009-08-01 |
| Last Update Date | 2021-07-30 |