| NPI | 1720320823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: SC 88332) |
| Additional Taxonomies | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: CA 159196) |
| 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: CA 159196) | |
| 207Y00000X Otolaryngology (Licence: TX 47153) | |
| 207Y00000X Otolaryngology (Licence: SC 88332) | |
| 207Y00000X Otolaryngology (Licence: CA 159196) | |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2022-12-02 |