| NPI | 1558628537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: UT 8781224-1205) |
| Additional Taxonomies | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: PA MD465634) |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2024-01-30 |