| NPI | 1972997369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: CA A167736) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MA 264458) |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2020-06-02 |