| NPI | 1629297924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: OH 35091550) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA A99279) |
| 207Y00000X Otolaryngology (Licence: OH 35091550) | |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2022-09-06 |