| NPI | 1730509316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: MA 274482) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MA 274482) |
| 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: NY 307238) | |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2023-07-03 |