| NPI | 1821009416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MI 4301054173) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX M8274) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2011-09-21 |