| NPI | 1710321963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology Pediatric Otolaryngology (Licence: KY 52899) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: KY 52899) |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2020-06-08 |