| NPI | 1851534770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NE 30047) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: WI 55030) |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2018-10-02 |