| NPI | 1689037947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: CO DR.0067705) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA MD478123) |
| Enumeration Date | 2016-04-03 |
| Last Update Date | 2022-11-07 |