| NPI | 1437189149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: VA 0101238767) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TN MD40247) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2014-11-18 |