| NPI | 1023057031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: MA 237016) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MA 237016) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2013-05-24 |