| 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 |