| 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 |