| NPI | 1104862523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MN 39684) |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 39684) |
| 207YS0012X (Licence: MN 39684) | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2016-08-11 |