| 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 |