| NPI | 1598269359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MA 1019730) |
| Additional Taxonomies | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: MA 1019730) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2024-08-28 |