| NPI | 1841482783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CO 53392) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MN student status) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2021-06-08 |