| NPI | 1063832210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: VA 0101258930) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: VA 0101258930) |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2024-08-09 |