NPI | 1376286997 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: MA 1019888) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: VA 0109542117) |
Enumeration Date | 2022-04-20 |
Last Update Date | 2024-09-30 |