| NPI | 1215227350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: KS 04-46459) |
| Additional Taxonomies | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: AL 31859) |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: MO 2022040429) | |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2023-02-20 |