| NPI | 1629563515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: UT 13785863-1204) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 125.073228) |
| 207Y00000X Otolaryngology (Licence: WI 81072-21) | |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2024-04-09 |