| NPI | 1366505505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WA MD60041077) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA A 97325) |
| 207Y00000X Otolaryngology (Licence: NY 229450) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2013-04-24 |