| NPI | 1477530756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: PA MD455721) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD PA55814) |
| 207Y00000X Otolaryngology (Licence: FL TRN147990) | |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2017-01-26 |