| NPI | 1619974631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: TX E8951) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX E8951) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2011-08-03 |