NPI | 1447310768 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX L3218) |
Additional Taxonomies | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: TX L3218) |
207YS0012X (Licence: TX L3218) | |
207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: TX L3218) | |
207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: TX L3218) | |
Enumeration Date | 2006-12-08 |
Last Update Date | 2019-01-28 |