| NPI | 1790789444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: TX K2335) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX K2335) |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2011-07-19 |