| NPI | 1366761314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MN 64869) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IA 8905) |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2020-08-12 |