| NPI | 1083052856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: OH 35.153559) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 036151912) |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2025-06-04 |