| NPI | 1770825523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: FL OS17526) |
| Additional Taxonomies | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: PA OS018419) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2022-11-01 |