| NPI | 1063584092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA A83674) |
| Additional Taxonomies | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: CA A83674) |
| 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: CA A83674) | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-03-06 |