| NPI | 1700014875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CO 48042) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OH 35.098921) |
| 207Y00000X Otolaryngology (Licence: CA A126233) | |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2016-04-20 |