| NPI | 1801935135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX P3515) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CO DR-50311) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2012-09-24 |