| NPI | 1568689420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TN DO3225) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IA 4167) |
| 207Y00000X Otolaryngology (Licence: NE 804) | |
| 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: MI 5101016973) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2022-07-21 |