| NPI | 1265415913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology Pediatric Otolaryngology (Licence: TX R7661) |
| Additional Taxonomies | 207YP0228X Otolaryngology Pediatric Otolaryngology (Licence: ID M7742) |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2022-07-29 |