| NPI | 1720369010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX Q7509) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX BP10039799) |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2021-08-09 |