| NPI | 1841515996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: SC 51819) |
| Additional Taxonomies | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: SC 51819) |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2023-02-09 |