| NPI | 1225159049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: VA 0101251369) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MN 49835) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2012-08-07 |