| NPI | 1013991884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MD D68124) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME98443) |
| 174400000X Specialist (Licence: MD D68124) | |
| 174400000X Specialist (Licence: CA A87280) | |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2020-06-06 |