| NPI | 1124230909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology Pediatric Otolaryngology (Licence: CA A112930) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA A112930) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2011-11-10 |