| NPI | 1518074822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NH 33987) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NY 198838) |
| 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: NY 198838) | |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2025-01-29 |