NPI | 1629399985 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: FL ME125928) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 125-058029) |
207Y00000X Otolaryngology (Licence: GA 4854) | |
Enumeration Date | 2010-06-21 |
Last Update Date | 2019-05-06 |