| NPI | 1558852772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MO 2023012076) |
| Additional Taxonomies | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: MO 2023012076) |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2024-04-25 |