| NPI | 1689600579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: AL 00020304) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL 00020304) |
| 207P00000X Emergency Medicine (Licence: LA MD.08197R) | |
| 207Y00000X Otolaryngology (Licence: WI 30473-20) | |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: MS 13067) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2025-01-13 |