| NPI | 1568417608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WA MD00019509) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA MD00019509) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2014-10-07 |