| NPI | 1316013709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: TX M5577) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX M5577) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2016-05-06 |