| NPI | 1518941996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NY 2401221) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NC 22759) |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: NC 22759) | |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2010-02-02 |