| NPI | 1396956694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA A112862) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OH 57010056) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2021-12-15 |