| NPI | 1235792995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: VA 0101286069) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: SC 92490) |
| 207Y00000X Otolaryngology (Licence: VA 0101286069) | |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2025-10-02 |