| NPI | 1912015561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MN 49555) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MI 4301078065) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2007-07-08 |