| NPI | 1346690427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: LA 330861) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 125.069451) |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2022-07-14 |