| NPI | 1750486874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WA MD00048480) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA A82174) |
| 207YP0228X Otolaryngology Pediatric Otolaryngology (Licence: WA MD00048480) | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2022-11-29 |