| NPI | 1013304914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: MO 2020017655) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MO 2020017655) |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2021-08-05 |