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 |