| NPI | 1437569613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA A167507) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IA MD-47306) |
| 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: CA A167507) | |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2022-03-02 |