| NPI | 1942861760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OH 35.153550) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TN 67375) |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2025-06-22 |