| NPI | 1164623559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX S1678) |
| Additional Taxonomies | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: MN 23397) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2020-11-20 |