| 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 |