| NPI | 1821529462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: PA MD471006) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MA 292382) |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2023-09-13 |