| NPI | 1205074010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: TX V3084) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: GA 75657) |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2024-08-03 |