| NPI | 1497883748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WA MD61258435) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MO 2009010651) |
| 207Y00000X Otolaryngology (Licence: CA A95486) | |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2022-07-11 |