| NPI | 1497883748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: WA MD61258435) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: WA MD61258435) |
| 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: WA MD61258435) | |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2024-09-30 |