| NPI | 1649584616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MO 2016023057) |
| Additional Taxonomies | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: MO 2016023057) |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2024-04-25 |