NPI | 1891836557 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MN 54738) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IA R-6607) |
207Y00000X Otolaryngology (Licence: IA 37908) | |
Enumeration Date | 2007-02-08 |
Last Update Date | 2020-08-19 |