| NPI | 1902915762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology Pediatric Otolaryngology (Licence: CO CDR.0004962) |
| Additional Taxonomies | 207YP0228X Otolaryngology Pediatric Otolaryngology (Licence: FL ME0063781) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2025-06-03 |