| NPI | 1336704121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: KS 04-49484) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX BP10067749) |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2024-07-18 |