| NPI | 1083134639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: CA A203853) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MI 4301511720) |
| 207Y00000X Otolaryngology (Licence: MO 2017021100) | |
| 207Y00000X Otolaryngology (Licence: CA A203853) | |
| Enumeration Date | 2017-06-25 |
| Last Update Date | 2025-09-16 |