| NPI | 1003862350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA G61638) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA g61638) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-03-10 |