| NPI | 1548759376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology Pediatric Otolaryngology (Licence: KY 59638) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: KY 59638) |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2024-08-01 |