| NPI | 1417031519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MN 44426) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TN MD37528) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-12 |