| NPI | 1578531919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: SC 87204) |
| Additional Taxonomies | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: SC 87204) |
| 207Y00000X Otolaryngology (Licence: SC 87204) | |
| 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: VA 0101263595) | |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2022-08-02 |