| NPI | 1558682815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: MI 5101025549) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MO 2019020869) |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: MI 5101018847) | |
| 207Y00000X Otolaryngology (Licence: OH 01220) | |
| 207Y00000X Otolaryngology (Licence: MA 262814) | |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2024-01-26 |