| NPI | 1225056112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: CO 45137) |
| Additional Taxonomies | 174400000X Specialist (Licence: CO 45137) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2022-09-26 |