NPI | 1740446228 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: LA MD.204078) |
Additional Taxonomies | 174400000X Specialist (Licence: IL 125049497) |
Enumeration Date | 2008-08-04 |
Last Update Date | 2021-03-25 |