| NPI | 1760464812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0602X Otolaryngology Otolaryngic Allergy (Licence: OR MD25065) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OR 25065) |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2010-03-12 |