| NPI | 1518058825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MI 4301109298) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: WI 40743) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2019-01-04 |