| NPI | 1871883470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology Pediatric Otolaryngology (Licence: TX U4604) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MI 4301502436) |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2023-08-25 |