| NPI | 1457811036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CO DR.0072304) |
| Additional Taxonomies | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: CO DR.0072304) |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2024-08-20 |