| NPI | 1396988366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: LA 300364) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: KY TP599) |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2016-12-19 |