| NPI | 1801072459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: GA 64268) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: GA 000697) |
| 207Y00000X Otolaryngology (Licence: VA 0101245014) | |
| 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: GA 64268) | |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2021-08-05 |