| NPI | 1376980961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: PA MT204475) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA MT204475) |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2018-06-19 |