| NPI | 1043340185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: AK MEDS7503) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MO 2006028765) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-06-15 |