| 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 |