NPI | 1225002488 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: MA 250652) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MA 250652) |
Enumeration Date | 2006-02-15 |
Last Update Date | 2023-11-08 |