| NPI | 1790147189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OH 35.147367) |
| Additional Taxonomies | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: OH 35.147367) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2026-04-06 |