| NPI | 1508974361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: SC 84267) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MN 62065) |
| 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: CO 32224) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2024-12-06 |