| NPI | 1700228483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MO 2019009692) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MN 633601) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2019-08-20 |