| NPI | 1013136159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: VT 042.0011676) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MA 231394) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2014-09-22 |