| NPI | 1619170529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: NC 2006-00621) |
| Additional Taxonomies | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: NC 2006-00621) |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: MO 2011003947) | |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2021-06-11 |