| NPI | 1609133099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX R3124) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX BP10043148) |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2022-01-25 |