| NPI | 1013238021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MO 2010017826) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: VA 0101258083) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2015-06-17 |