NPI | 1316357320 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX S6235) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA MD466753) |
Enumeration Date | 2014-04-29 |
Last Update Date | 2021-12-10 |