| NPI | 1053594515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX P4782) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NC 2012-00371) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2020-06-10 |