| NPI | 1144416413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NC 2019-02075) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: AR E-6979) |
| 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: OH 9444) | |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2024-10-16 |