| NPI | 1164438875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA A55835) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NM 2004-0708) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2024-07-09 |