NPI | 1578902169 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: AR E-15308) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MD H85230) |
207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: MI 5101020587) | |
Enumeration Date | 2013-06-18 |
Last Update Date | 2022-06-29 |