| NPI | 1104919554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology Otology & Neurotology (Licence: CO DR.0033702) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CO 33702) |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2017-07-12 |