| NPI | 1942627187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology Pediatric Otolaryngology (Licence: CT 65362) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CT 65362) |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2020-09-17 |