| NPI | 1467912055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: IL 036.169554) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: WI 75789-20) |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2024-05-09 |