| NPI | 1609242510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NY 291393) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MA 265097) |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2017-10-06 |