| NPI | 1831652361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: VA 0101288151) |
| Additional Taxonomies | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: AR E-19290) |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2026-05-12 |