NPI | 1003295445 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MD D90683) |
Additional Taxonomies | 208600000X Surgery (Licence: PA MT212067) |
Enumeration Date | 2015-05-19 |
Last Update Date | 2021-05-29 |