| NPI | 1528065695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CO 37010) |
| Additional Taxonomies | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: CO 37010) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2007-07-08 |