| NPI | 1851705966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: GA 85449) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: FL ME139608) |
| 207Y00000X Otolaryngology (Licence: MO 2014018993) | |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2022-02-07 |