| NPI | 1700867926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX H6550) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX H6550) |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2014-04-14 |