| NPI | 1790963924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NE 26424) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IA 42107) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2018-08-20 |