| NPI | 1174577142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NC 200401468) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: SC 202212868) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2012-07-02 |