| NPI | 1609089374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: OH 35.092090) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OH training) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-10-07 |