| NPI | 1972747780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: NE 26212) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NY n/a) |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2024-10-07 |