| NPI | 1396850806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OR MD11836) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: WA MD00034679) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-07-11 |