| NPI | 1649238338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NY 227791) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CT 044273) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2013-10-15 |