| NPI | 1336358670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: LA MD.207821) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: WY TL#1725) |
| 207Y00000X Otolaryngology (Licence: TX N2413) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-12-30 |