| NPI | 1912165135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology Pediatric Otolaryngology (Licence: MO 2014020139) |
| Additional Taxonomies | 207YP0228X Otolaryngology Pediatric Otolaryngology (Licence: KS 04-37281) |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2014-08-04 |