| NPI | 1073879417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NY 293521) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: WI 67306-20) |
| 207YP0228X Otolaryngology Pediatric Otolaryngology (Licence: NY 293521) | |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2023-11-26 |