| NPI | 1679761886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NY 246474) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX N1975) |
| 207Y00000X Otolaryngology (Licence: TX FTL 42370) | |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2021-12-21 |