| NPI | 1992937825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WA MD60573979) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA MT195895) |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2015-08-26 |