NPI | 1568663623 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NE 30636) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MA 248211) |
207Y00000X Otolaryngology (Licence: MI 5315027090) | |
Enumeration Date | 2007-05-29 |
Last Update Date | 2018-09-24 |