| NPI | 1194709014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: PR 7858) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NY 159116) |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2009-12-11 |