| NPI | 1497964720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: WA MD60147213) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: AL 27041) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2021-05-18 |