| NPI | 1316174014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: CA A148368) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IA R-8703) |
| 207Y00000X Otolaryngology (Licence: CA A148368) | |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2024-04-28 |