| NPI | 1568521367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NY 265336) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OH 35097336) |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2012-08-27 |