| NPI | 1730314667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: OH 35.126769) |
| Additional Taxonomies | 207YS0012X (Licence: OH 35.126769) |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2022-07-21 |