| NPI | 1316289101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: TN 59946) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MI 4301115044) |
| 207Y00000X Otolaryngology (Licence: IL 125.063825) | |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2022-03-18 |