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 |