| NPI | 1174721138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CT 54829) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MA 256192) |
| 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: CT 54829) | |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: CT 54829) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2025-05-23 |