| NPI | 1487746178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MI 4301089137) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OH 35088557) |
| 207YX0901X Otolaryngology, Otology & Neurotology (Licence: MI 4301089137) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2009-05-04 |