NPI | 1255524609 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA C141413) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MA 242696) |
208600000X Surgery (Licence: MA 242696) | |
207Y00000X Otolaryngology (Licence: OH 35.094512) | |
Enumeration Date | 2007-08-20 |
Last Update Date | 2016-09-27 |