| NPI | 1013337492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: CA A154529) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA 154529) |
| 207Y00000X Otolaryngology (Licence: NV 21112) | |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2023-01-10 |