| NPI | 1275605206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OH 35.120287) |
| Additional Taxonomies | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: CO 39311) |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: CO 39311) | |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: OH 35.120287) | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2015-11-12 |