| NPI | 1619979374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: NY 269960) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OH 34-008578) |
| 207Y00000X Otolaryngology (Licence: OH 35008578) | |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2023-03-29 |