| NPI | 1487858775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WV 21597) |
| Additional Taxonomies | 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: WV 21597) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2015-11-12 |