| NPI | 1821444761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology Plastic Surgery within the Head & Neck (Licence: FL ME157401) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: AZ 54953) |
| 207Y00000X Otolaryngology (Licence: NY 309304) | |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2023-03-07 |