| NPI | 1316384555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IA R-9697) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA 154794) |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2021-12-17 |