| NPI | 1740393461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology Otolaryngology/Facial Plastic Surgery (Licence: WA MD60174057) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: WA 60174057) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2019-04-13 |