| NPI | 1750909404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology Pediatric Otolaryngology (Licence: OH 57.248750) |
| Additional Taxonomies | 207YP0228X Otolaryngology Pediatric Otolaryngology (Licence: TN 65584) |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2022-07-28 |