| NPI | 1932692696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: VA 0101278186) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: SC LL52481) |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2023-08-09 |