| NPI | 1063778363 |
|---|---|
| Former Name | CARLY JIGANTI STEWART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NH 22377) |
| Additional Taxonomies | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: CA A149372) |
| 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: NH 22377) | |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2022-02-24 |