| NPI | 1265968911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: LA 338519) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: LA 338519) |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2023-09-05 |