| NPI | 1285895268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: CT 53049) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CT 053049) |
| 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: CT 053049) | |
| Enumeration Date | 2008-06-22 |
| Last Update Date | 2022-11-25 |