| NPI | 1275943151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OH 34.014052) |
| Additional Taxonomies | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: MI 5101020918) |
| Enumeration Date | 2014-05-01 |
| Last Update Date | 2020-01-08 |