| NPI | 1689769028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: WA MD60906587) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: WI 49465-020) |
| 207Y00000X Otolaryngology (Licence: MI 4301095795) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2022-06-18 |