| NPI | 1720003569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX L2908) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX L2908) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2014-05-01 |