| NPI | 1760414866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: LA 305190) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NC 2006-00303) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-07-16 |