| NPI | 1316572191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: CO DR.0077044) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CO DR.0077044) |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2026-08-03 |