| NPI | 1598953846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: VA 0101256962) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MD D76348) |
| 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: DC MD041641) | |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2016-09-29 |