| NPI | 1467446401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IA 30905) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MN 52742) |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2020-10-07 |