| NPI | 1265736607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: CA C188275) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TN 49192) |
| 207Y00000X Otolaryngology (Licence: MS 22170) | |
| Enumeration Date | 2010-12-28 |
| Last Update Date | 2023-10-13 |