| NPI | 1972596187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IA 27197) |
| Additional Taxonomies | 207YP0228X Otolaryngology Pediatric Otolaryngology (Licence: IA 27197) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2007-07-08 |