| NPI | 1144846965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: WA MD.MD.70074136) |
| Additional Taxonomies | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: SC MMD.84356) |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2026-07-30 |