| NPI | 1710277975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CO DR.0055530) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: AZ 45945) |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2016-07-02 |