| NPI | 1225473267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology Facial Plastic Surgery (Licence: NY 292736) |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery (Licence: NY 292736) |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2023-10-11 |