| NPI | 1851364566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: LA MD025057) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MA 223555) |
| 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: LA 025057) | |
| Enumeration Date | 2006-02-12 |
| Last Update Date | 2007-09-19 |