| NPI | 1669775631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OH 35128009) |
| Additional Taxonomies | 207YX0905X Otolaryngology Otolaryngology/Facial Plastic Surgery (Licence: OH 35128009) |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2021-02-17 |