| NPI | 1760414866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: IA MD-56159) |
| Additional Taxonomies | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: LA 305190) |
| 207Y00000X Otolaryngology (Licence: NC 2006-00303) | |
| 207Y00000X Otolaryngology (Licence: IA MD-56159) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2026-01-14 |