| NPI | 1720023781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WI 37449) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MD D59305) |
| 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: WI 37449) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2023-10-17 |