NPI | 1134579519 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: ME DO3270) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: ME DO3270) |
207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: MI 5101022329) | |
Enumeration Date | 2016-06-16 |
Last Update Date | 2025-03-31 |