NPI | 1568639722 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: TX P7468) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX P7468) |
207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: TX P7468) | |
Enumeration Date | 2008-05-15 |
Last Update Date | 2020-07-31 |