| NPI | 1043629231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MI 4301108734) |
| Additional Taxonomies | 207YX0007X Otolaryngology Plastic Surgery within the Head & Neck (Licence: MI 4301108734) |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2021-02-19 |