| NPI | 1992047633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NC 00809) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NC 201800809) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2021-03-30 |