| NPI | 1619934122 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: CA G71176)  | 
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA G71176)  | 
| Enumeration Date | 2006-04-27 | 
| Last Update Date | 2024-04-29 |