| NPI | 1245573120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: UT 10794294-1205) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: UT 10797294-1205) |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2019-06-28 |