| NPI | 1306208673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: NY 308442) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NY 308442) |
| 207Y00000X Otolaryngology (Licence: MD 5969) | |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2025-12-16 |