| NPI | 1104106814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology Pediatric Otolaryngology (Licence: AZ 56854) |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ R72569) |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2023-01-05 |