| NPI | 1134927312 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: WA MD61655064) | 
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: WA MD61655064) | 
| Enumeration Date | 2025-03-04 | 
| Last Update Date | 2025-06-02 |