| NPI | 1558942342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: OR MD229285) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: HI MD-23142) |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2026-07-14 |