| NPI | 1366418956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology Otology & Neurotology (Licence: VA 0101237385) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: VA 0101237385) |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2009-01-26 |