| NPI | 1821002130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: RI 5410) |
| Additional Taxonomies | 174400000X Specialist (Licence: RI 5410) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2016-12-15 |