NPI | 1255538302 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX P2701) |
Additional Taxonomies | 174400000X Specialist (Licence: TX P2701) |
Enumeration Date | 2007-07-02 |
Last Update Date | 2024-06-17 |