| NPI | 1134615693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: CA 188253) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA MT215783) |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2023-09-08 |