| NPI | 1073804902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: KS 04-38998) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MO 2016013812) |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2016-07-13 |