| NPI | 1457794893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NC 2018-00901) |
| Additional Taxonomies | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: NC 2018-00901) |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2019-08-09 |