| NPI | 1760644322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX s3690) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: VA 0102202565) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2020-05-05 |