| NPI | 1942697578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OH 35.142905) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OR MD197197) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2023-03-14 |