| NPI | 1619910551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: AR T2009-076) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MO 2001024924) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2013-01-29 |