| NPI | 1639391311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MS 22626) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: GA 056101) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2016-03-01 |