| NPI | 1225311798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: PA MD 445017) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: WA MD60164585) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2012-09-04 |