| NPI | 1497702419 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX L7124) | 
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 036-112115) | 
| Enumeration Date | 2006-05-27 | 
| Last Update Date | 2012-11-28 |