| 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 |