NPI | 1871915595 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: OK 2474) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO R9E71) |
208D00000X General Practice (Licence: TX G8392) | |
Enumeration Date | 2014-01-15 |
Last Update Date | 2014-01-15 |