| NPI | 1952763567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MA 267291) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NH 21751) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2021-08-09 |