| NPI | 1134388671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TN MD52400) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA L-236990) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2022-02-14 |