| NPI | 1467667550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: ID O-0622) |
| Additional Taxonomies | 207YS0123X Otolaryngology Facial Plastic Surgery (Licence: ID O-0622) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2019-05-02 |