NPI | 1659735249 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207YX0007X Otolaryngology Plastic Surgery within the Head & Neck (Licence: UT 12792745-1205) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MD D90995) |
Enumeration Date | 2016-04-08 |
Last Update Date | 2022-06-30 |