| NPI | 1558892109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology Pediatric Otolaryngology (Licence: KY 58004) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: KY 58004) |
| 207Y00000X Otolaryngology (Licence: KY TP439) | |
| 207YP0228X Otolaryngology Pediatric Otolaryngology (Licence: KY TP439) | |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2024-01-10 |