NPI | 1275928558 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: NY 316917) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NY 316917) |
Enumeration Date | 2015-04-02 |
Last Update Date | 2022-09-27 |