NPI | 1003201807 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: OR MD205851) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MO 2020018986) |
207Y00000X Otolaryngology (Licence: KS 04-43079) | |
Enumeration Date | 2015-03-30 |
Last Update Date | 2021-08-05 |