| NPI | 1326245721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CO 50926) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IA R8111) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2021-05-18 |