| NPI | 1609142355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: VA 0101264596) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: DC MD046396) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2018-09-10 |