| NPI | 1649407925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: FL 143704) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX P9329) |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2020-06-30 |