| NPI | 1699896027 |
|---|---|
| Former Name | TRACEY LIAKOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: AZ 6517) |
| Additional Taxonomies | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: IL 036.124716) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2021-06-18 |