| NPI | 1710996921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: MN 48598) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MN 48598) |
| 207Y00000X Otolaryngology (Licence: AZ 38065) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2023-04-19 |