| NPI | 1194986273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: TX Q1412) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: FL ME114987) |
| 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: TX Q1412) | |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2017-02-01 |