| NPI | 1922219435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: VA 0101246865) |
| Additional Taxonomies | 207YS0012X (Licence: VA 0101246865) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2020-04-30 |