NPI | 1619970043 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174400000X Specialist (Licence: LA 10468r) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: LA 10468R) |
Enumeration Date | 2005-05-31 |
Last Update Date | 2024-03-05 |