| NPI | 1609072438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: KS 04-34937) |
| Additional Taxonomies | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: MO 2011009295) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2011-08-24 |