| NPI | 1184128779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WA MD61406601) |
| Additional Taxonomies | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: WA MD61406601) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2023-09-28 |