| NPI | 1477663268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OR MD18394) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: WA MD00041145) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |