| NPI | 1255573515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: MA 266714) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MA 266714) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2023-11-08 |