| NPI | 1215321286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: PA MD474604) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: FL ME144521) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2022-09-28 |