| NPI | 1427015981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA G60672) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX N0493) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2009-03-23 |