| NPI | 1326159120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: GA 050633) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA MD048635L) |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: GA 50633) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2012-08-01 |