| NPI | 1609072842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TN 48308) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MS 29339) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2021-09-14 |