| NPI | 1346428208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX N3187) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: SC 30515) |
| 207Y00000X Otolaryngology (Licence: IL 036-115676) | |
| Enumeration Date | 2008-02-03 |
| Last Update Date | 2018-07-30 |