| NPI | 1740721810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: UT 10222696-1205) |
| Additional Taxonomies | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: UT 10222696-1205) |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2022-03-06 |