| NPI | 1487746418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MO R9D79) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA G39329) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2013-03-27 |