| NPI | 1528116001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: MA 247501) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NY 241778) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2022-05-02 |