| NPI | 1619971686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: GA 039297) |
| Additional Taxonomies | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: GA 039297) |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2017-01-11 |