NPI | 1336305028 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA A137254) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NY 270336-1) |
Enumeration Date | 2008-08-01 |
Last Update Date | 2021-10-26 |