| NPI | 1831135193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MN 27918) |
| Additional Taxonomies | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: MN 27918) |
| 2086S0120X Surgery, Pediatric Surgery (Licence: MN 27918) | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2007-07-08 |