| NPI | 1851920185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: GA 12471) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: GA 12471) |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2025-02-14 |