| NPI | 1952806788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: AZ 69919) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: WI 72169-20) |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2023-06-30 |