| NPI | 1407292873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology Pediatric Otolaryngology (Licence: MA 278631) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MA 278631) |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2023-11-08 |