NPI | 1699060293 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: VA 0101252383) |
Additional Taxonomies | 208D00000X General Practice (Licence: VA 0116024205) |
Enumeration Date | 2011-06-13 |
Last Update Date | 2020-02-17 |