| NPI | 1952733271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OH 35123227) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA MD449606) |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2014-07-03 |