| NPI | 1164765954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: CO DR.0062707) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA A154288) |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2021-03-02 |