| NPI | 1780942243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: MN 63695) |
| Additional Taxonomies | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: WI 82559-20) |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2025-06-25 |