| NPI | 1013067982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX M0711) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NV 18286) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2021-10-14 |