| NPI | 1598175572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: MI 4301117284) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MI 4301117284) |
| 207Y00000X Otolaryngology (Licence: CA 137596) | |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: MI 4301117284) | |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2023-09-15 |