| NPI | 1912128794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: TX P0259) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MI 5101016589) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2023-07-06 |