| NPI | 1023066024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WA MD60575483) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OH 35082313W) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2016-03-08 |