| NPI | 1568839934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: NY 025858-01) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA9107971) |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2022-04-14 |