| NPI | 1497716583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NC 9701750) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA G83138) |
| 207Y00000X Otolaryngology (Licence: IN 01040566) | |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2007-07-08 |