| NPI | 1477990489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX S1959) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NY 291788-1) |
| 208600000X Surgery (Licence: TX BP10046927) | |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2019-10-10 |