| NPI | 1770674897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WI 64145) |
| Additional Taxonomies | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: AR E-3850) |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: AR E-3850) | |
| 207Y00000X Otolaryngology (Licence: IN 01054222A) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2015-07-30 |