| NPI | 1932630027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: AZ 70371) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: WA MD61270203) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2023-09-11 |