| NPI | 1043343429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MA 244036) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: RI MD12698) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2015-04-29 |