| NPI | 1336258086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: GA 84376) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: GA 84376) |
| 207Y00000X Otolaryngology (Licence: MD D00793445) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2023-03-16 |