| NPI | 1770785289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MA 258915) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OH 35093456) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2020-10-05 |