| NPI | 1821054248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: VA 0101050719) |
| Additional Taxonomies | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: VA 0101050719) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2016-11-02 |