| NPI | 1346567369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: UT 12974559-1205) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MD D83114) |
| 207Y00000X Otolaryngology (Licence: GA 88123) | |
| 207Y00000X Otolaryngology (Licence: CT 047679149) | |
| 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: UT 12974559-1205) | |
| 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: GA 88123) | |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2022-08-24 |