| NPI | 1942512280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: FL 138648) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MO 2013044225) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2019-04-08 |