| NPI | 1427377076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: SC 40765) |
| Additional Taxonomies | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: FL ME122245) |
| 207Y00000X Otolaryngology (Licence: TX Q7938) | |
| 207Y00000X Otolaryngology (Licence: FL ME122245) | |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2021-02-15 |