| NPI | 1851736235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: CA A135746) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA A135746) |
| 207Y00000X Otolaryngology (Licence: NY 292561) | |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2025-01-22 |