| NPI | 1932526258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MS 27613) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA MD466858) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2021-10-22 |