| NPI | 1780635706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: SD 5984) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NE 21329) |
| 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: NE 21329) | |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2023-02-24 |