| NPI | 1144451691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MN 57739) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NE 6113) |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2014-06-18 |