| NPI | 1649469800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: HI MD-15779) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA A98120) |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2021-03-29 |