| NPI | 1720181142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NV 9031) |
| Additional Taxonomies | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: NV 9031) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2008-05-02 |