NPI | 1003108879 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA A149924) |
Additional Taxonomies | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: CA A149924) |
Enumeration Date | 2011-05-11 |
Last Update Date | 2022-07-21 |