| NPI | 1700129186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: OH 35.139024) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OH 35.139024) |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2022-09-06 |