| NPI | 1356540884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IA 04309) |
| Additional Taxonomies | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: IA 4309) |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: MI 5101017240) | |
| Enumeration Date | 2007-07-14 |
| Last Update Date | 2020-11-13 |