| NPI | 1881742674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA G44674) |
| Additional Taxonomies | 207YX0007X Otolaryngology Plastic Surgery within the Head & Neck (Licence: CA G44674) |
| 207YX0602X Otolaryngology Otolaryngic Allergy (Licence: CA G44674) | |
| 2083T0002X Preventive Medicine Medical Toxicology (Licence: CA G44674) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2015-06-16 |