| NPI | 1073788915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CO DR.0056107) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MA 222383) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2016-02-25 |