| NPI | 1649258617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NC 2007-01728) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MA 209643) |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2019-06-10 |