| NPI | 1609883768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WA MD00038929) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OR MD21133) |
| 208600000X Surgery (Licence: WA MD00038929) | |
| 208600000X Surgery (Licence: OR MD 21133) | |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2020-02-20 |