| NPI | 1831135029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MT MT8566) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: WY WY6264A) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2016-01-15 |