| NPI | 1457557704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: IA 37327) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MN 16004) |
| 207Y00000X Otolaryngology (Licence: IA 37327) | |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2009-05-12 |