| NPI | 1427192988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WA MD60257147) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MN 17533) |
| 207Y00000X Otolaryngology (Licence: NH 14445) | |
| 207Y00000X Otolaryngology (Licence: MA 239449) | |
| Enumeration Date | 2007-02-17 |
| Last Update Date | 2015-10-20 |