| NPI | 1063519163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: AR E-5900) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MI 4301083737) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2015-04-13 |