| NPI | 1427310176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: TX R7612) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX R7612) |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2020-03-31 |