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 |