| NPI | 1598085383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: WA MD60441019) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OR MD171367) |
| 207Y00000X Otolaryngology (Licence: IL 036.145414) | |
| 208600000X Surgery (Licence: WA ML 60165745) | |
| 208600000X Surgery (Licence: WA MD60441019) | |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2023-08-23 |