| NPI | 1447476536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OH 35.091166) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX N9468) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2012-10-12 |