| NPI | 1639226525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX N9684) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NY 257101) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2011-06-13 |