NPI | 1184036691 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: AZ 51186) |
Additional Taxonomies | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: KY 52670) |
207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: OH 35.136393) | |
207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: MT 88318) | |
207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: CO DR.0062407) | |
Enumeration Date | 2014-06-02 |
Last Update Date | 2023-09-20 |