| NPI | 1801087408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MA 232639) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 232639) |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2012-03-07 |