| NPI | 1073733861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: CA A117297) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA A117297) |
| 208600000X Surgery (Licence: CA A117297) | |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2019-11-14 |