| 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 |