| NPI | 1700102308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: CA A135189) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA fl5409215) |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2022-01-19 |