| NPI | 1902338510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD210446) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OR MD210446) |
| Enumeration Date | 2017-04-02 |
| Last Update Date | 2026-07-29 |