| NPI | 1215062153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology Facial Plastic Surgery (Licence: SC 31119) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA A98836) |
| 207Y00000X Otolaryngology (Licence: SC 31119) | |
| 207YX0905X Otolaryngology Otolaryngology/Facial Plastic Surgery (Licence: SC 31119) | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2016-06-08 |