| NPI | 1891227666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: MO 2023014807) |
| Additional Taxonomies | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: KS 04-47697) |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2023-10-01 |