| NPI | 1750438628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: TN MD53328) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TN MD53328) |
| 207Y00000X Otolaryngology (Licence: NC 2011-01280) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2022-03-16 |