| NPI | 1609951367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: KS KS04-24830) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: AZ 28369) |
| 207Y00000X Otolaryngology (Licence: CA G72121) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2018-03-17 |