| NPI | 1558701144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA A133452) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA MD463870) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2020-03-16 |