NPI | 1568071751 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: FL ME150241) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA A169356) |
Enumeration Date | 2020-07-24 |
Last Update Date | 2021-08-12 |