| NPI | 1841819752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: VA 0101288986) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: VA 0101288986) |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2026-07-06 |