| NPI | 1477728301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: NY 325429-01) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA MD433827) |
| 207Y00000X Otolaryngology (Licence: MD D0067253) | |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2023-11-16 |