| NPI | 1811999402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: GA 041239) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: GA 041239) |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2012-04-11 |