| NPI | 1699068122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MI 4301114422) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IA MD-46204) |
| 207YS0012X (Licence: IA MD-46204) | |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: IA MD-46204) | |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2024-07-17 |