| NPI | 1679560320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA A32307) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A32307) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2018-09-13 |