| NPI | 1629072426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: GA 58871) |
| Additional Taxonomies | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: GA 58871) |
| 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: GA 58871) | |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2012-02-02 |