| NPI | 1194348540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MO 2025029374) |
| Additional Taxonomies | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: MO 2025029374) |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2025-08-22 |