| 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 | 2024-11-19 |