| NPI | 1972893816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: LA 306770) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MA 267185) |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2020-12-29 |