| NPI | 1467856120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: NY 312876) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NY 312876) |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2024-01-02 |