| NPI | 1801026463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WA TR 60094761) |
| Additional Taxonomies | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: WA TR 60094761) |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2009-07-17 |