| NPI | 1053774455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: UT 12882240-8905) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: WI 68626) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2022-10-25 |