| NPI | 1316935489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: SC 21802) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA MD423272) |
| 207Y00000X Otolaryngology (Licence: SC 21802) | |
| 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: SC 21802) | |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2016-06-13 |