NPI | 1346507589 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: GA 82072) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MD 1346507589) |
207Y00000X Otolaryngology (Licence: MN 64685) | |
Enumeration Date | 2012-04-12 |
Last Update Date | 2019-03-20 |