| NPI | 1568585719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX N2892) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 242382) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-05-12 |