| NPI | 1164633723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NY 286767) |
| Additional Taxonomies | 207YP0228X Otolaryngology Pediatric Otolaryngology (Licence: NY 286767) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2018-03-17 |