| NPI | 1710208038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: TX R0250) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX 550055) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2022-07-19 |