| NPI | 1841383486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: TX K8671) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX K8671) |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: TX K8671) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2008-02-06 |