| NPI | 1336349109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WV 22942) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: SC 31403) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2021-01-06 |