| NPI | 1386663672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OR MD28632) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NY 205752) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2012-11-08 |