NPI | 1619971686 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: GA 039297) |
Additional Taxonomies | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: GA 039297) |
Enumeration Date | 2005-06-08 |
Last Update Date | 2017-01-11 |