| NPI | 1740674167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CO 0068509) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: LA 202930) |
| 207Y00000X Otolaryngology (Licence: MA 286459) | |
| 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: CO DR.0068509) | |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2023-01-16 |