| NPI | 1124260351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WA MD60820938) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: VA 0101249148) |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2018-07-03 |