| NPI | 1629246798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA G48337) |
| Additional Taxonomies | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: CA G48337) |
| 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: CA G48337) | |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2011-12-14 |