| NPI | 1780973354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: UT 8405870) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NV 19794) |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2020-06-13 |