| NPI | 1548788482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: GA 98473) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: FL ME159941) |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2024-08-08 |