| NPI | 1144470667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: CA A120839) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NY 246372) |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2022-05-23 |