| NPI | 1609001114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: MA 249354) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MA 249354) |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2011-12-13 |