| NPI | 1578859237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: TX S2608) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MO 2011016816) |
| 207Y00000X Otolaryngology (Licence: FL ME135452) | |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2019-07-05 |