| NPI | 1295025641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OH 35131726) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TN MD53841) |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2017-12-12 |