| NPI | 1306259619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: PA MT225261) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MI 4301117257) |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2022-06-23 |