| NPI | 1508869280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA G00049511) |
| Additional Taxonomies | 207YS0012X (Licence: CA G00049511) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2017-05-09 |