NPI | 1760634034 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MD D0075624) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: DC 149326) |
207Y00000X Otolaryngology (Licence: NY 264916) | |
Enumeration Date | 2008-10-18 |
Last Update Date | 2014-04-28 |