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 |