| NPI | 1538521869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: MN 73996) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: WI 74763) |
| 207Y00000X Otolaryngology (Licence: OH 35.144646) | |
| 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: WI 74763) | |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: OH 35.144646) | |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2025-06-25 |