| NPI | 1124482674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: WA MD61690157) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: WA MD61690157) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2025-10-07 |