| NPI | 1306165972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: SC 37978) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IA R8855) |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2016-09-02 |