| NPI | 1104867316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: MN 43962) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MN 4396) |
| 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: MN 43962) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2012-10-26 |