| NPI | 1891803730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: MI 4301055028) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MI 4301055028) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2023-09-15 |