| NPI | 1891910907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX N0238) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PR 15686) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2019-10-21 |