| NPI | 1700836442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX Q0617) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NC 2010-00715) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2014-11-14 |