| NPI | 1881747335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: GA 49416) |
| Additional Taxonomies | 174400000X Specialist (Licence: NH T1029) |
| 174400000X Specialist (Licence: FL ME108470) | |
| 174400000X Specialist (Licence: GA 049416) | |
| 174400000X Specialist (Licence: VA 0101042695) | |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2019-06-11 |