| NPI | 1558625533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CO DR.0067494) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OH 35.134540) |
| 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: CO DR.0067494) | |
| 207YS0012X (Licence: CO DR.0067494) | |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2022-02-24 |